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Confidential Application:
please fill out this form and bring it to a meeting. Any questions,
please call the president, Rene Silvestre (707) 843-1300
Name: _________________________________ Date:
__________________
Name of Business:
__________________________________________________
Type of Business:
__________________________________________________
Address of Business:
_______________________________________________
Business Phone:________________________Business
Fax:___________________
Home Phone:__________________________Age of
Business:________________
Social Security or Tax ID Number:
___________________________________
E-Mail: _________________________ Website:
________________________
THE ABOVE-NAMED INDIVIDUAL GIVES EXPRESS PERMISSION FOR THE TIPSTERS
TO RUN A CREDIT REPORT IN ORDER TO REVIEW APPLICANT’S WORTHINESS FOR
MEMBERSHIP.
Signature:__________________________________
Please provide The Tipsters with two professional
references:
Name:_____________________________Phone:__________________________
Name:_____________________________Phone:___________________________
Please suggest two new businesses which would likely
join The Tipsters:
Name:_____________________________Phone No:________________________
Name:_____________________________Phone
No:________________________
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